[Show abstract][Hide abstract] ABSTRACT: The second part of the article is a review of the perspectives on «orphan vaccines», therapeutic immunization and strategies to improve the compliance to the vaccination programmes.
[Show abstract][Hide abstract] ABSTRACT: The second part of the article is a review of the perspectives on orphan vaccines, therapeutic immunization and strategies to improve the compliance to the vaccination programmes.
[Show abstract][Hide abstract] ABSTRACT: To find the level of implantation and use of the Child Health Booklet (CHB) in the Murcia region and the prevalence of breast-feeding.
A retrospective descriptive study.
Central services of the Health Board. Community level.
A sample consisting of the mothers of 14-week old babies with a birth-date between 16/11 and 15/12/92 (n = 197).
A telephone survey was carried out. A telegram was sent to those who did not answer or had no telephone.
147 mothers answered (74.6 +/- 6.1%); 137 with a telephone (88.5 +/- 5%) and ten without (22 +/- 12.7%) (p < 0.001). 134 of these (91.2 +/- 4.6%) stated that they had received the CHB: 126 when leaving hospital. One had lost it after three months. We found no differences for different Maternity hospitals. Of the 134 mothers with the CHB, 90 (67.2%) used public health services, 27 (20.1%) private ones and 17 (12.7%) both. 87.4% of the mothers took their CHB to their consultations, where health professionals asked to see it on 68.2% of the occasions. Parameters with compliance over 90% were: personal data, the type of birth along with incidents at the birth, and somatometry at the birth. Neonatal status and psychomotor development showed under 10% compliance, though in hospital there was better compliance. 85 +/- 5.8% began breast-feeding, with 31.3% +/- 7.5% carrying on up to three months. We found no association between public or private care and commitment to breast-feeding.
A high level of distribution of the CHB and an acceptable compliance level. It is important to promote the CHB as a recording instrument and to involve the family.
[Show abstract][Hide abstract] ABSTRACT: To find the evolution of the prevalence of tubercular infection.
Study of the tendency of the findings from crossover surveys carried out during the last 7 years.
First-year EGB students from public and private schools in the Autonomous Community of Murcia.
Performing the Mantoux intradermoreaction test with 2 UT of PPDRT23/TWEEN80 for the first 5 years and 5 UT of PPDCT68/TWEEN80 the last 2, with any induration over 5 mm. being considered positive. A clinical study of school students found positive and of their family contacts.
Coverage was established at about 80% (71,520 tests studied), with prevalence diminishing from 0.97% to 0.44%, this establishing a downward tendency (p < 0.001). 6.5% of the tuberculin-test positive students (21) and 2.8% of the family contacts (34) were diagnosed with tuberculosis.
At the moment we lack data to suggest an increase in endemic tuberculosis among the school population. The results mentioned justify tuberculosis surveys of school students, although low prevalence suggests that the age at which it is performed should be raised.
[Show abstract][Hide abstract] ABSTRACT: In the present study, we have carried out an evaluation of school examinations in 47,943 children in the past course. We have compared our results with those from similar previous studies in other parts of Spain. Our findings were comparable in visual acuity and scoliosis, and not so much about cryptorchidism and phimosis. We think that examinations are necessary, but it is needed to increase the quality and the effectiveness, to get closer to the knowledge of usefulness and to the correct evaluation of school health programs.